TALAL N KHAN (Credential# 1299181) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
TALAL N KHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054597. The credential type is physician/surgeon. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 141 Old Farm Road, East Longmeadow, MA 01028. The current status is active.
| Licensee Name | TALAL N KHAN |
| Credential ID | 1299181 |
| Credential Number | 1.054597 |
| Credential Type | Physician/Surgeon |
| Business Address |
141 Old Farm Road East Longmeadow MA 01028 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-09-09 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-08-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1306334 | CSP.0061339 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-09-10 | 2015-09-10 - 2017-02-28 | INACTIVE |
| Street Address | 141 old farm road |
| City | east longmeadow |
| State | MA |
| Zip Code | 01028 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Stezko | 29 Autumn Ridge, East Longmeadow, MA 01028 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sergy Chebotarev | 38 Lenox Circle, East Longmeadow, MA 01028 | Tax Preparer/facilitator Permit | 2020-06-18 ~ 2022-06-30 |
| Breanna Lynn Cloonan | 11 Acorn Street, East Longmeadow, MA 01028 | Physical Therapist Assistant | 2020-07-01 ~ 2021-06-30 |
| Maureen Teresa Blanchard | 70 Somers Rd, East Longmeadow, MA 01028 | Esthetician | ~ |
| Erica J Mcnamara | 30 Villanova Street, East Longmeadow, MA 01028 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Jerry E Gray | C/o Abide Inc., East Longmeadow, MA 01028 | Lead Abatement Supervisor | 2020-09-01 ~ 2021-08-31 |
| Devin T Mccorison | C/o Abide, Inc., East Longmeadow, MA 01028 | Asbestos Abatement Supervisor | 2020-09-01 ~ 2021-08-31 |
| Susan B Chunyk | Hampden Hearing Ctr, East Longmeadow, MA 01028 | Audiologist | 2020-08-01 ~ 2021-07-31 |
| Mario Tascon | 202 Canterbury Circle, East Longmeadow, MA 01028 | Real Estate Salesperson | 2020-06-08 ~ 2021-05-31 |
| Jeong Ja Lee | 25 Robin St, East Longmeadow, MA 01028 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 01028 | |||
| City | east longmeadow |
| Zip Code | 01028 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + east longmeadow |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Talal Khan | 785 Mix Ave Apt C, Hamden, CT 06514-2126 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Talal Aziz Kaiser | 80 Seymour Street, Hartford, CT 06102 | Physician/surgeon | 2018-11-01 ~ 2019-11-30 |
| Siddiq A Khan | 212 138th Ave Nw, Andover, MN 55304-6761 | Physician/surgeon | ~ |
| Abdul T Khan Md | 183 Stonebridge Rd Apt #a, Woodstock, CT 06281 | Physician/surgeon | 2002-02-28 ~ 2003-02-28 |
| Shaukat A Khan Md | 15 Rainbow Rd, Bethany, CT 06524 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Muhammad Khan | 131 Bridge St, Naugatuck, CT 06770-2929 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Amjad A Khan | 122 W 43rd St, Bayonne, NJ 07002-2005 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Naureen Khan Md | 35 Willard St Apt 4b, New Haven, CT 06515-2163 | Physician/surgeon | 2008-09-22 ~ 2009-10-31 |
| Aziz Khan | 47 Avonwood Rd, Avon, CT 06001 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Anwar M Khan Md | 241 Braeside Dr, Hamden, CT 06514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on TALAL N KHAN.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).